Biopsy abdominal mass at Dominican Hospital
1555 Soquel Dr, Santa Cruz, CA · CommonSpirit Health · · NPI 1427181007
$1,691.55
Cash price Discounted cash price What a hospital charges a self-pay patient who pays directly, without going through insurance — usually well below the gross charge. Example: A CT scan has a $3,200 gross charge but an $850 discounted cash price. Ask for it by name when scheduling — hospitals don't always advertise it up front.
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What you pay up front if you don't use insurance.
$3,759.00
Gross charge Gross charge (chargemaster price) The hospital's full, undiscounted list price — pulled from its internal "chargemaster" price list. Almost no one actually pays this. Example: A chest X-ray has a gross charge of $1,450. The same hospital's discounted cash price for the same X-ray is $180 — the gross charge mostly anchors negotiations, not what patients pay.
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The hospital's undiscounted list price — almost no one pays this.
$286.66 with BCBS - Anthem vs $10,835.00 with Health Net — same scan, same building. Share
Negotiated rates by payer
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →
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Negotiated rate
The price a specific insurance plan agreed to pay the hospital for a service — it varies by insurer, and even by plan within the same insurer.
Example: The same knee MRI has a negotiated rate of $904 with one insurer's PPO plan and $1,509 with another's — identical hospital, identical scan.
Full explanation →Payer ?Payer The insurance company footing the bill — Aetna, UnitedHealthcare, Medicare, and so on. Example: "Blue Cross Blue Shield" is the payer. Its negotiated rate for an MRI might be $904, while a different payer's negotiated rate for the same scan is $1,509. Full explanation → |
Plan ?Plan The specific product an insurer sells — e.g. "Blue Cross PPO 500" — which sets your deductible, coinsurance and negotiated rates. Example: Two people both insured by Aetna can owe very different amounts for the same MRI: $50 with an HMO plan's flat copay, or the full $1,200 toward a high-deductible PPO plan's unmet deductible. Full explanation → |
Negotiated rate | vs. cash |
|---|---|---|---|
| BCBS - Anthem | Medicaid|All Plans | $286.66 | ↓ -83% |
| Health Net | Medicaid|> 21 | $352.59 | ↓ -79% |
| Health Net | Medicaid|< 21 | $352.59 | ↓ -79% |
| Central California Alliance for Health | Medicaid|All Plans | $451.88 | ↓ -73% |
| COSC Psych | Medicaid|All Plans | $451.88 | ↓ -73% |
| Blue Shield CA | Medicare|All Plans | $2,225.98 | ↑ +32% |
| United | Medicare|All Plans | $2,225.98 | ↑ +32% |
| Health Net | Medicare|All Plans | $2,225.98 | ↑ +32% |
| Kaiser | Medicare|All Plans | $2,225.98 | ↑ +32% |
| Kaiser | Commercial|All Plans | $2,443.35 | ↑ +44% |
| Blue Shield CA | Commercial|DHMF | $2,537.62 | ↑ +50% |
| Western Growers | Commercial|All Plans | $2,556.12 | ↑ +51% |
| Healthsmart | Commercial|All Plans | $3,007.20 | ↑ +78% |
| Multiplan | Commercial|All Plans | $3,195.15 | ↑ +89% |
| First Health | Commercial|All Plans | $3,195.15 | ↑ +89% |
| United | Commercial|All Other Plans | $3,383.10 | ↑ +100% |
| United | Commercial|Options PPO | $3,608.64 | ↑ +113% |
| United | Commercial|HMO | $3,608.64 | ↑ +113% |
| United | Commercial|Non-Options PPO | $3,759.00 | ↑ +122% |
| Blue Shield CA | Commercial|Exchange | $6,296.00 | ↑ +272% |
| Blue Shield CA | Commercial|ACO Trio | $6,581.00 | ↑ +289% |
| BCBS - Anthem | Commercial|All Other Plans | $6,617.00 | ↑ +291% |
| Sutter Health | Commercial|All Plans | $6,967.32 | ↑ +312% |
| Health Net | Commercial|Community Care | $8,010.00 | ↑ +374% |
| Blue Shield CA | Commercial|All Other Plans | $8,045.00 | ↑ +376% |
| Aetna | Commercial|HMO | $9,146.00 | ↑ +441% |
| Aetna | Commercial|PPO | $9,218.00 | ↑ +445% |
| BCBS - Anthem | Commercial|MCS | $9,244.00 | ↑ +446% |
| Health Net | Commercial|Care Product | $9,752.00 | ↑ +477% |
| Health Net | Commercial|Blue Gold | $9,866.00 | ↑ +483% |
| Health Net | Commercial|All Other Plans | $10,835.00 | ↑ +541% |
Visitor-reported prices
Comments
Biopsy abdominal mass at other California hospitals
| Hospital | City | Cash price | Negotiated range |
|---|---|---|---|
| St. John's Camarillo Hospital | Camarillo | $833.52 | $352.59 – $3,763.88 |
| Arroyo Grande Hospital | Santa Maria | $2,163.12 | $286.66 – $3,120.32 |
| Mark Twain Medical Center | San Andreas | $2,021.31 | $286.66 – $1,300.46 |
| French Hospital | San Luis Obispo | $1,842.40 | $286.66 – $3,317.30 |
| Mercy Hospitals – Bakersfield | Bakersfield | $1,941.45 | $286.66 – $4,186.40 |
| Bakersfield Memorial Hospital | Bakersfield | $1,920.52 | $286.66 – $4,134.07 |
| Queen of The Valley Medical Center | Napa | $4,687.92 | $2,345.04 – $9,858.00 |
| Providence St Joseph Hospital Eureka | Eureka | $5,381.01 | $2,124.23 – $9,858.00 |